The role and scope of practice of nurses working in Canadian heart failure clinics

Heart & Lung : the Journal of Critical Care
Patti Staples, Wendy Earle

Abstract

Nurses play an integral role in providing care in heart failure (HF) clinics and disease management programs that lead to improved outcomes for HF patients. This pilot study explored how closely nurses in Canadian HF clinics follow consensus guideline recommendations and nursing interventions from published studies. A total of 27 nurses from HF clinics across Canada completed a questionnaire about their role and scope of practice. The majority of nurses covered recommended topic areas for counseling and education with the exceptions of discussing advanced directives, teaching patients to titrate diuretics, and counseling on secondary prevention. Nurses with a postgraduate degree were more likely to independently titrate medications and order echocardiograms. Nurses affiliated with the Canadian Congestive HF Clinic Network were more likely to provide telephone management, titrate medications, and order echocardiograms and other diagnostic tests. Patients may not be experiencing the benefits that are reported in the literature for being followed up in a HF clinic because the role and scope of practice of nurses varies from one clinic to another. The role and scope of practice of nurses in HF clinics needs to be standardized.

References

Feb 24, 1999·JAMA : the Journal of the American Medical Association·M D NaylorJ S Schwartz
Apr 6, 2000·The Nurse Practitioner·J Dahl, S Penque
Feb 13, 2001·European Journal of Heart Failure·A StrömbergU Dahlström
Mar 27, 2001·Journal of Cardiac Failure·R E HershbergerJ Everett
Mar 30, 2001·AACN Clinical Issues·N M Albert
Apr 5, 2001·The American Journal of Medicine·F A McAlisterP W Armstrong
May 18, 2001·Current Opinion in Cardiology·U Dahlström
Aug 9, 2001·European Heart Journal·W J RemmeUNKNOWN Task Force for the Diagnosis and Treatment of Chronic Heart Failure, European Society of Cardiology
Sep 29, 2001·BMJ : British Medical Journal·L BlueC E Morrison
Oct 12, 2001·European Journal of Heart Failure·D P HolstP Bergin
Jan 5, 2002·Journal of the American College of Cardiology·Harlan M KrumholzViola Vaccarino
Feb 2, 2002·Journal of the American College of Cardiology·Edward K KasperSheldon H Gottlieb
May 2, 2002·Nursing Management·Julie Dahl, Sue Penque

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Citations

Mar 15, 2014·The Permanente Journal·June L RondinelliJoyce A Johnson
Jun 13, 2006·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·T JaarsmaD R Thompson
Nov 5, 2005·Revista brasileira de enfermagem·Maria Carolina Salmora Ferreira, Maria Cecília Bueno Jayme Gallani

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